Organization Active NPI

Jose L Berlioz MD PA

Doing business as Safari Pediatrics

  • Neonatal-Perinatal Medicine Physician
  • Laredo, TX
National Provider Identifier
1922025998
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
Legal business name
JOSE L BERLIOZ MD PA
Doing business as
Safari Pediatrics
Practice address
10710 McPherson Rd Ste 101
Laredo, TX 78045-6363
Phone
(956) 724-7145
Fax
(956) 724-4944
NPI assigned
Jul 16, 2006
Last updated
Jan 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Mary Kafati
Title
General Manager
Phone
(956) 763-6335

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU
Neonatal-Perinatal Medicine Physician 2080N0001X NU Primary
Pediatric Critical Care Medicine Physician 2080P0203X NU

Addresses

Primary practice location

10710 McPherson Rd Ste 101
Laredo, TX 78045-6363

Mailing address

PO Box 450594
Laredo, TX 78045-0014
Phone (956) 724-7145

Other identifiers 4

IdentifierTypeStateIssuer
144557903MedicaidTX
144557901MedicaidTX
0036GWOtherTXBCBS
144557902MedicaidTX

Other names 1

  • Safari Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

10710 McPherson Rd
Ste 101
Laredo, TX 78045
Phone (956) 724-7145

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1922025998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450594",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780450014",
            "telephone_number": "956-724-7145",
            "fax_number": "956-724-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 MCPHERSON RD STE 101",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456363",
            "telephone_number": "956-724-7145",
            "fax_number": "956-724-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE L BERLIOZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "KAFATI",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "956-763-6335",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144557903",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144557901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0036GW",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144557902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safari Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Safari Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.